Attachment 3 - Past Performance Information Form (PPIF).docx

DOCX document 48 KB Posted

Attached to
MAF Mattresses - Minot AFB, ND
Solicitation number
FA452826QRS01
Issued by

About this file

This is a Past Performance Information Form (PPIF) used by the 5th Contracting Squadron at Minot Air Force Base to evaluate contractor performance history as part of the quote evaluation process for solicitation FA452826QRS01.

The form requests references to complete detailed assessments of a quoter's past performance on relevant contracts. Respondents must provide information about their experience with the contractor, including contract details, service descriptions, personnel management capabilities, overall performance ratings, and contract history. Completed forms must be returned by the offer due date (April 17, 2026, at 1:00 PM CST) and should be marked Source Selection Sensitive. Forms submitted directly by contractors under evaluation will be rejected. References should address whether they would award another contract to the contractor, note any cure notices or terminations, and identify CPARS ratings if applicable. Completed forms should be submitted to the 5th Contracting Squadron at Minot AFB, ATTN: Keri D. Meis, either by mail or email at keri.meis.1@us.af.mil, with contact by phone at (701) 723-4184. The government notes it may contact quoters regarding identified problem areas, but will not disclose the identity of respondents providing feedback.

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Text version

FA4528-26-Q- RS01

Attachment 4 - Page 1 of 2

PAST PERFORMANCE INFORMATION FORM

The 5th Contracting Squadron, Minot AFB, North Dakota, is in the process of selecting a contractor for the purchase and delivery of a substantial quantity of new mattresses and protective encasements to multiple locations requiring approval on an Entry Access List (EAL). The contractor will also be required to return to the locations and pick up the old mattresses a few days after delivering the new ones. One of the considerations in quote evaluation is the verification of the Quoter’s past and present performance on contracts, which reflect the Quoter's ability to perform on the proposed effort. We depend on information received from agencies, such as yours, which have had first-hand experience with a Quoter for the evaluation of the Quoter's performance on those contracts.

Please complete this form and provide comments wherever applicable. Please sign the document in the space provided. Please note, we may contact the Quoter on problem areas or concerns identified to see what corrective actions have been taken or will be taken. However, the individual's name completing the questionnaire will not be disclosed to the Quoter.

Please return the completed form as soon as possible but no later than the offer due date noted in the Solicitation. Please obtain this date from your contractor. The completed document should be marked Source Selection Sensitive. Forms submitted directly from the Contractor being evaluated will be thrown out.

Respondent and Contract Information:

Name of Customer/Contract:

Address:

Name and Title of Evaluator:

Signature of Evaluator and Date:

Telephone No:

Dates/Years of Performance:

Annual $ Value:

Contract Number:

Contractor Name & Address:

Contractor performed as the Prime Contractor Sub-Contractor

Services Performed/Detailed Description of Work:

Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel?

How would you rate the contractor’s past performance?

Would you award another contract to this contractor? If not, please explain:

Was the contractor ever issued a cure or show cause notice, or was the contract terminated?

If yes, please explain:

Is the contract rated in CPARS? Yes No

Remarks:

SEND COMPLETED SURVEY FORM TO:

5 CONS/PKB, 165 Missile Ave., Minot AFB, ND 58705 ATTN: Keri D. Meis EMAIL: keri.meis.1@us.af.mil

DUTY PHONE: (701) 723-4184

File details come from the government source that posted it. Updated .